Class of 2014 Abstract / Specific Aims: The primary aim of this project was to determine how receptive patients of Avella Specialty Pharmacy are towards using a mail-back medication disposal envelope by phone survey. This evaluated the hypothesis: participants in the Avella Pharmacy Medication Mail-Back Program will find the program helpful and easy to use. A secondary aim was to describe the participation in Avella’s pharmacy based medication mail-back program. This evaluated the hypothesis: Avella’s pharmacy based mail-back program will produce more participants versus non-participants. Methods: Patients of Avella Specialty Pharmacy with unused medications from discontinued prescriptions for any reason were offered a pre-paid Take Away™ envelope to dispose their medications. Each patient who accepted an envelope was called and asked about their experience using the envelope. Main Results: The majority of patients (58%) who were offered a medication disposal envelope agreed to receive one. All of the respondents surveyed indicated they would use their envelope to mail medications back. Patients of Avella Specialty Pharmacy think medication disposal envelopes are easy (100%) and helpful (97%) to use. Utilizing the trash or toilet to dispose of medications made up 41% of responses when asked about their usual method of medication disposal. A majority of respondents (74%) had not heard of a medication disposal program before Avella’s call regarding the envelope. Conclusion: Medication mail-back disposal envelopes are helpful and easy to use for disposing of unused medications among Avella Specialty Pharmacy patients. The majority of Avella Specialty Pharmacy patients are receptive towards receiving and using medication mail-back disposal envelopes.